NPIMap

Organization Active NPI

Vision and Conceptual Development Center LLC

  • Vision Therapy Optometrist
  • Chevy Chase, MD
National Provider Identifier
1477856474
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
TA 1930 Issued in MD
Legal business name
VISION AND CONCEPTUAL DEVELOPMENT CENTER LLC
Practice address
6900 Wisconsin Ave
Suite 600
Chevy Chase, MD 20815-6114
Phone
(301) 951-0320
Fax
(301) 951-0370
NPI assigned
Dec 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Amanda Rae Zeller Manley, O.D.NPI 1104885037
Title
Director
Phone
(301) 951-0320

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WP0200X TA 1930 MD
Sports Vision OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WS0006X
Vision Therapy OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WV0400X TA 1930 MD Primary

Addresses

Primary practice location

6900 Wisconsin Ave
Suite 600
Chevy Chase, MD 20815-6114

Mailing address

4608 S Chelsea LN
Bethesda, MD 20814-3718
Phone (301) 654-4941

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1477856474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4608 S CHELSEA LN",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143718",
            "telephone_number": "301-654-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 WISCONSIN AVE",
            "address_2": "SUITE 600",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208156114",
            "telephone_number": "301-951-0320",
            "fax_number": "301-951-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION AND CONCEPTUAL DEVELOPMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "ZELLER MANLEY",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-951-0320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": "MD",
            "license": "TA 1930",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Sports Vision",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "MD",
            "license": "TA 1930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.